Utilization Management Pharmacist - Prior Authorization Expert

Judi Health, LLC; Jersey City (NJ); On-site; USD 112,500 - 137,500; Full time

Job summary

Transformcap is looking for a Clinical Care Pharmacist in Jersey City, New Jersey, responsible for promoting safe and effective medication use. You will review prior authorization requests, support clinical programs, and provide guidance to members, prescribers, and pharmacies in a collaborative environment.

The ideal candidate holds an active pharmacist license and has strong communication and organizational skills with experience in pharmacy services. The position offers a salary range of $125,000 annually and requires flexibility to work after hours and weekends.

Qualifications

• 6 months to a year of prior authorization experience required.
• Active, unrestricted pharmacist license necessary.
• Minimum of 2 years pharmacy practice experience expected.

Responsibilities

• Review and make decisions on prior authorizations and appeals.
• Ensure compliance with regulations across various plans.
• Document clinical decisions in accordance with standards.
• Provide support to members and pharmacies via phone.

Skills

Prior authorization experience

Communication skills

Organizational skills

Ability to manage multiple priorities

Education

Bachelor’s or Doctor of Pharmacy degree

Job description

Transformcap is looking for a Clinical Care Pharmacist in Jersey City, New Jersey, responsible for promoting safe and effective medication use. You will review prior authorization requests, support clinical programs, and provide guidance to members, prescribers, and pharmacies in a collaborative environment.

The ideal candidate holds an active pharmacist license and has strong communication and organizational skills with experience in pharmacy services. The position offers a salary range of $125,000 annually and requires flexibility to work after hours and weekends.